DR. DEREK JAMES ROGNLIEN D.D.S. NPI 1023243896

NPI Information

  • NPI: 1023243896
  • Provider Name: DR. DEREK JAMES ROGNLIEN, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1020 MENOMONIE ST
    EAU CLAIRE, WI
    ZIP 54703
  • Phone: (715) 834-8161

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NPI Details

DR. Derek James Rognlien, D.D.S. is a general practice dentist in Eau Claire, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Derek James Rognlien, D.D.S. NPI is 1023243896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1020 MENOMONIE ST
EAU CLAIRE, WI
ZIP 54703-952
Phone: (715) 834-8161

The NPI 1023243896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/22/2009 and was last updated on 2/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6379-15WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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